Untitled_3315

Applicant IL
State: {Applicant State:2} Date of Application: 09/13/2020 Referred by: Other
First name: {First Name:98} Last name: {Last Name:97} First name 2: {First Name 2:94} Last name 2: {Last Name 2:93}
Street: {Street Address:3}
City: {City:4} State: {State:5} Zip: {Zip:6}

Ages interested in:
 0 months – 1 year (we rarely get dogs in this age group), 1 year – 3 years, 3 years – 5 years, 5 years – 10 years
Gender preferred:
 Either a Male or a Female
Color preferred:
 Any color
Activity level:
 Couch Potato, Outgoing, Quiet, Playful

Other preferences:
 We would like to be able to trust the dog around our grandchildren when they come to visit. They range in age from 18 months to 7 yrs.

Previous dog owner?
 Yes
 
Dog 1
 
Dog 1 name:
 {Dog Name (Most recent/ current first):24}
 
Dog description:
 {Description of Dog:25}
 
How long owned?
 {Length of time owned:26}
 
Where is this dog now?
 {Where is this dog now? (Explain if you no longer have the dog):37}
  Dog 2
 
Dog 2 name:
 {Dog Name (Most recent/ current first):30}
 
Dog description:
 {Description of Dog:33}
 
How long owned?
 {Length of time owned:35}
 
Where is the dog now?
 {Where is this dog now? (Explain if you no longer have the dog):39}
  Dog 3
 
Dog 3 name:
 {Dog Name (Most recent/ current first):29}
 
Dog description:
 {Description of Dog:32}
 
How long owned?
 {Length of time owned:36}
 
Where is dog now?
 {Where is this dog now? (Explain if you no longer have the dog):27}
  Dog 4
 
Dog 4 name:
 {Dog Name (Most recent/ current first):28}
 
Dog description:
 {Description of Dog:31}
 
How long owned?
 {Length of time owned:34}
Where is this dog now? {Where is this dog now? (Explain if you no longer have the dog):38}

Who is this dog for?

 us

Why do you want a Pembroke?
 We adopted a corgi from your organization in 2009, her name then was baby girl which we changed to Kiva. Kiva was 7 1/2 yrs old, a surrender from an elderly couple. She was a gentle sweet dog that was wonderful with our grandchildren when they began to come along. She never bothered them but would sit in the room when we played with them. She was a wonderful dog that we had fun walking in the neighborhood as well as playing with in the back yard. She wasn't really into toys too much but would love to run around so I would do that with her in the yard-loved those zoomies! She would always stay in whatever room we were in, and I would bring her up on the sofa to be petted when watching tv. She was very friendly and would greet everyone who came to the house, we loved that about her. She was easily trained as corgis are which was great. We had originally applied with your organization because our son had a corgi that we puppy-sat and still dog-sit for when he has to go out of town. This occurs maybe every couple of years for a long weekend. We had fallen in love with him and researched corgis before we adopted one.
I would like to tell you a little bit about Kiva's medical needs so hopefully you get an idea of the commitment we made to her. She developed a corneal ulcer on 1 eye. I actually contacted her foster mom, Yvette Huesler who is also a corgi breeder, for guidance. She suggested an ophthalmologist which we ultimately took her to for treatment. It was then we learned she was virtually blind in that eye due to a congenital defect. She developed an ulcer on the other eye as well later, and they believed it was because she did not produce enough tears so she was on eye drops for the rest of her life. We also discovered that she had food allergies and after multiple food changes and another email to Yvette, we got her tested. She was allergic to so many common foods that lamb was about the only protein she could have. I searched for good sources of lamb products that we could give her as a special treat periodically outside of her regular food. She developed what was believed to be DM when she was 14. We worked so hard to modify the home and how we cared for her to make it easier for her as the paralysis increased. When she could no longer stand to eat or drink and she looked so sad all the time because she could no longer move by herself, we made the difficult decision to put her down. We asked her vet to do this at home so she could pass over the rainbow bridge with the least amount of anxiety. We had her for 7 1/2 yrs, so she was 15 when she left. It has taken us a couple of years to get over her passing and now we would like to offer a good loving home to another corgi.

Activities planned with Pembroke:
 Walk the neighborhood and take for car rides. We would play both inside and outside, we have a fenced back yard. We took Kiva on several vacations with us staying in pet friendly hotels or vacation homes. We never left her alone when out of town but took her on our outings, walking the town streets or state parks. We have a safety harness for the car which attaches to the seat belt so we can travel safely with the dog. We have all the accoutrements from Kiva such as a crate, food bowls, leashes, beds, etc which have been cleaned.

Aware that Pembrokes are busy, noisy dogs?
 Yes

Money for basic care?

 Yes

Money for unforeseen medical expenses?
 Yes

Willing to house train?
 Yes
Willing to do formal training? Yes

Do you have a veterinarian?

 Yes

Vet contact info:
 {If yes, please provide contact information including the vet’s name, clinic name, street address, city, state, zip, and phone. Also include the website if there is one.:52}

Will handle mistakes Pembroke makes like this: 		Depending on what it was we might, redirect or say no and then encourage a better behavior

Discipline:
 We believe in positive reinforcement . When we adopted Kiva, we immediately signed her up for training. Both of us worked with her and used food as a motivator. We plan to go to obedience training with the new dog as well. Kiva was a bit overweight when we got her so she dieted and we maintained her weight once it got down to a healthy number. We would give her carrots as treats to help keep the weight down as well.

Where would Pembroke spend the majority of the time:
 With us, in the house unless we were working outside and it wasn't too hot or too cold outside.

Discipline:
 We believe in positive reinforcement . When we adopted Kiva, we immediately signed her up for training. Both of us worked with her and used food as a motivator. We plan to go to obedience training with the new dog as well. Kiva was a bit overweight when we got her so she dieted and we maintained her weight once it got down to a healthy number. We would give her carrots as treats to help keep the weight down as well.
Where would Pembroke spend the majority of the time: With us, in the house unless we were working outside and it wasn't too hot or too cold outside.

House dog or outside dog?

 House dog

People at home during the day?
 yes, we are both retired

Where would dog eat?
 Kitchen

Where would dog sleep:
 Crate or dog bed, whichever works best or is most comfortable for the dog. When we got Kiva, we had planned on having her sleep in the crate and we did use the crate initially. But, she wanted to be near us and she was very trustworthy in the house so she had free reign in the house.

Play & exercise:
 We would walk the dog at least twice a day. We have many gardens and love to spend time outside working in them so the dog can come out with us and investigate the yard. We would try playing with toys, we found the ones that you can put treats into so the dog has to work to get them out was a good way to exercise the brain, although those we would only do indoors so the dog does not accidentally eat something outside it shouldn't.

How will you exercise your dog?
 Both on leash and restrained to the yard

Fenced yard?

 Yes, I have a fenced in yard.

Willing to pick up dog waste?
 Yes, I will clean up after my dog.

Willing to use a crate?
 We have a four foot picket fence in the back yard. One side neighbor has replaced the picket fence with a 5 foot chain link. We have a new neighbor on the other side which recently replaced the pickets with a 6 or 7 ft privacy fence. So actually, the 4 foot picket fence is now in the back and the sides of our house with the other 2 fences on either side.

Living arrangements:
 Own home

Landlord info:
 {If you rent/lease your home, please list the name, telephone number and email address of your landlord. State “Not Applicable” if you own your own home.:67}

May we contact your landlord?

Lease allow dogs:

Landlord permission:

Restrictive covenants?
 Not applicable

Breed/size restrictions?
 No

Description of yard:

 standard quarter to one third acre suburban yard. Garden areas along back and sides. We added a small wire fence in the yard to keep Kiva away from the vegetables when we had her but that is a small part of the yard. She loved the yard and would fall asleep on the deck often. She loved investigating the yard and had a favorite corner. In the winter, we would shovel a path through the snow to that corner so she could easily get back there to do her business and check things out. We have a wooden deck off the kitchen and it has about 6 steps to the back yard. When walking, we go out the either the front door which has about 4 steps or the garage which has 2.

Household members:
 {Describe all the people who live in your home, include names, ages and interests. For example, Mary Smith, 29, Enjoys cooking, dog training, gardening and running.:75}

Everyone in household agrees about adopting a corgi?
 Yes, everyone agrees and wants to adopt a Pembroke Welsh Corgi.

May we do a home visit?

 Yes, I will allow LPWCR representatives to inspect my home prior to allowing me to adopt a Pembroke.

Who will be responsible for the adopted corgi’s care?
 both equally

Willing to train children?
 absolutely, we always want both the dog and our guests to be comfortable and have a good relationship.

Any allergies?

 No one is allergic.

Current pets:

{Please list and describe all of the pets that currently live in your home, including the name, type, age, sex and whether it is neutered. For example, Lenny, komodo dragon, 3 years old, not neutered.:80}

Current pets dog friendly?

Are you willing to work on it if your new dog doesn’t get along with your current pets right away?
 yes, that would be critical but we don't expect to have more than 1 dog. Gary is allergic to cats so they cannot be in the house.

Lifetime commitment to Pembroke?

 Yes, I am willing to commit to this dog for the rest of its life.

Return to Lakeshore if unable to care for Pembroke?
 Yes, I will only surrender my adopted corgi to LPWCR if I am unable to care for it.

Understand no guarantees?

 Yes, I understand that there are no guarantees regarding the condition, health, behavior or personality of the Pembroke I adopt.

Carefully considered the pluses and minuses of adopting a pet?
 Yes, I have carefully thought out my decision to adopt a Pembroke and am willing to deal with the consequences.

Personal references:
 {Personal References. Please list two people who know your family well, but who are not related to you (No moms, grandmas, sisters, etc) who will attest to the fact that you are a responsible, dedicated pet owner. Include the name of the person, their phone number(s), email and relationship you have with that person. For example, Mary Smith, 123-343-4444, 123-333-5767, marys@gmail.com, friend.:87}